| Portercare Adventist Health System | |
|
9397 Crown Crest Blvd Suite 440 Parker CO 80138-8575 | |
| (303) 269-4370 | |
| (303) 269-4371 |
| Full Name | Portercare Adventist Health System |
|---|---|
| Speciality | Internal Medicine - Obesity Medicine |
| Location | 9397 Crown Crest Blvd, Parker, Colorado |
| Authorized Official Name and Position | Angela Skinner (OMA ADMINISTRATOR) |
| Authorized Official Contact | 3036737175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portercare Adventist Health System Po Box 911244 Denver CO 80291-1244 Ph: (303) 643-1099 | Portercare Adventist Health System 9397 Crown Crest Blvd Suite 440 Parker CO 80138-8575 Ph: (303) 269-4370 |
| NPI Number | 1174849624 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174849624 | NPI | - | NPPES |
| 90455568 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
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